House Season2 EP1

Acceptance

Episode 201 : 2005-09-13

Clarence, an inmate on death row starts seeing hallucinations of the people he killed -- his girlfriend, a rival gang member and a cop. Clarence screams to be let out of the room and then collapses on the floor.

House barges into Cuddy's office when he notices that Stacy is there. He demands to be given Clarence's case because he is intrigued that the patient's heart was beating so quickly to cause the body to pump air instead of blood. Cuddy reluctantly gives him the case and House sets off for the prison.

Dr. Cameron sees a patient named Cindy who needs a health clearance for her new job. Cindy appears to be a little anemic, and the employer sent her to the hospital for more tests. Cameron is surprised by what is on the x-ray and turns to Dr. Wilson for confirmation. Although it seems obvious what the patient is afflicted with, she only suffers from a slight cough. This doesn't make sense.

House diagnoses Clarence as hypoxic with fluid in his lungs. He will die in an hour without a respirator. The prison warden isn't very sympathetic, but House calls for an ambulance. The warden insists that no death row inmate leave through the front doors. House has Stacy acquire a legal injunction and Cuddy is enraged by him pulling strings for this.

Cameron presents Cindy's file to House, who immediately dismisses it as metastatic squamous cell lung cancer. The patient may have only six months to live. Cameron begs him to think of other ideas, but he urges her to inform Cindy that she is dying. Cameron can't believe that House will treat a death row inmate over Cindy. Foreman thinks heroin might be the cause of Clarence's tachycardia and pulmonary edema, so House orders a drug test.

House's team examines Clarence, but he awakes and freaks out. The guards struggle to restrain him. The results come back with no sign of opiates in Clarence's system. As the doctors try to figure out causes and symptoms for the heart troubles, Stacy glares at House from the hallway. House shuts the blinds to his office and requests an arterial blood gas test. After the meeting, Stacy corners House and demands to know if she can trust him. Obviously, she can't.

Foreman draws blood from Clarence's femoral artery. The tests results indicate a new symptom -- anion gap acidosis. Is it possible that Clarence thought he was taking heroin in prison but was really injecting something else? The team mulls over the causes of anion gap acidosis, and Cameron throws out INH, the drug for tuberculosis. House sends Chase to the prison to find Clarence's secret stash.

Wilson finds House watching television in a coma patient's room. Wilson wonders whether House only needs people to like him because he needs people to help him get things done. If Stacy can't trust him, he can't use her. Suddenly, House gets a page that Clarence is dying. He injects him with atropine to buy a few hours. House calls Chase to see if he found anything, but Chase has only found boxes with office supplies in Clarence's cell.

House visits Clarence and pours him a shot of 150-proof rum, explaining that a dying man deserves one last drink. He asks Clarence why he tried to kill himself by ingesting copier fluid. Clarence admits that he wanted to take control of his life. House tells Clarence that the copier fluid contains methanol, which is poisonous. But the rum they just drank contains so much ethanol that it's going to bind with the formic acid. Clarence will merely pee out the toxins.

Stacy asks if Clarence is clear to return to death row, but House still thinks the man is sick. Cameron stakes out a small area on the white board in House's office for Cindy's symptoms. House comes in and immediately erases it to change the topic back to Clarence. Why would he try to kill himself after filing for an appeal? The other lingering question is why his heart went nuts before drinking the copier fluid. House orders a full battery of tests. Yet Chase and Foreman see that Clarence's CT scan is completely normal.

House later returns to his office to find Cameron sitting in his chair. She wants a procedure that could possibly indicate Cindy doesn't have cancer. House says a biopsy would be more definitive but denies the request. Cameron lights into him. He finally agrees that if she covers two of his clinic hours, Cameron can run her test on Cindy. Cameron inserts a bronchoscope into Cindy's nose and she reports to Wilson that it showed no sign of infection. He tells her that she'll have to biopsy.

Cuddy barges into House's office. Stacy told her about Clarence and he will be sent back to prison. Clarence, meanwhile, complains of tremendous stomach pain, but Cuddy doesn't believe him. House pulls back Clarence's sheets, revealing a large pool of blood on the bed.

The surgeons remove almost a foot of necrotic bowel from Clarence. House starts to wonder why Clarence killed the people he did. They figure that Clarence killed his cheating girlfriend over jealousy, his first cell mate for revenge, and an abusive guard for retribution. But why did he kill the second inmate? House asks Clarence about the anomaly and he doesn't want to talk. House badgers him and Clarence finally opens up. He admits that he felt like the guy could stare straight through him. Clarence just freaked out and killed him.

House, Foreman and Chase ponder the sudden cause of this rage. Chase suggests adrenaline, but House tells them about pheochromocytoma which sits on top of the adrenal gland and spits out adrenaline randomly. Although extremely rare, it explains everything.

Wilson discusses Cindy's diagnosis with Cameron. The biopsy was positive and she is terminal. Cameron says that she just spending time with Cindy because she has nobody else. The woman's parents are dead and she has no siblings. Wilson tells her it's not worth it and could mess her up for years. Cameron thinks that when a good person dies, somebody should notice and get upset.

House tells Clarence that he will need an MRI to confirm the diagnosis. However, Clarence has prison tattoos which are usually made with heavy metal causing the MRI to suck them. Clarence refuses to have the tattoos removed, and the MRI still shows the pheochromocytoma. After the treatment, Clarence is cured.

Foreman talks with House about Clarence's tumor. Since it explained the rage attacks, it possibly explains Clarence's murders. Foreman plans to testify at Clarence's appeal hearing. House says that a small tumor doesn't absolve Clarence of what he did. Plenty of other people managed pheo rage attacks on their own.

Cameron hugs Cindy as she gives her the final diagnosis.

201
House: There’s Waldo.
House在最後給病人做核磁共振，找到那個嗜鉻細胞瘤時說的話，Where’s Waldo《尋找沃爾多》是一套益智兒童讀物，就是給你一個人物的圖像，這個人叫沃爾多，然後再給你一張圖片，圖片裡有很多人，讀者要做的就是在裡面找到沃爾多。有興趣的可以到這裡看看：http://www.khalil.cn/bbs/viewthread.php?tid=115，很好玩的.
如果我沒記錯的話，字幕在這裡的注釋又錯了……好在沒影響劇情。

House: Ruh-roh!
House把病人從監獄里弄到醫院，結果撞到了Cuddy，咕囔了這麼一句，這個是模仿的是史酷比豆Scooby Doo，那條不怕任何妖魔鬼怪的大丹狗，關於這個狗的電影好像已經拍了好幾集了。

House: Gandhi didn’t march to the sea because his buddies asked him to. Pol Pot didn’t wipe out the teachers because he wanted to make friends.
House對Stacy說：甘地步行到海邊去，不是因為他的朋友們讓他去；波爾波特把教師都屠殺乾淨，不是因為他想交朋友。（多謝milady提醒，改正了嚴重的錯誤，本人水準確實還不夠）
1930年，甘地為了反抗英國政府的鹽稅政策，自己徒步248英里走到海邊去曬鹽；波爾波特，也就是大名鼎鼎的紅色高棉，或稱赤柬，或稱柬埔寨共*產*党 的領導人，在其統治期間屠殺了200多萬人，尤其是知識份子，當然教師肯定一個也沒倖免，柬埔寨全國才500萬人口……不多說了，大家可以去網上自己查，不過在百度知道和百度貼吧裡，搜索“紅色高棉”。結果是0，原因嘛…不言自明。
House說這兩句話的意思是，人們做一件事情的唯一的原因，是認為這件事是正確的，跟別的無關，就像前面一句對白，希特勒還以為自己是在幫助世界。

House: You just made a completely seamless jump from anger to bargaining.
House：你剛剛從憤怒到妥協做了一個完整的無縫躍遷。
House寫給Cameron看的5個單詞，也即“死亡五步曲”，這個概念最早出自美國女精神病專家Elisabeth Kubler-Ross伊莉莎白.庫伯勒-羅斯寫於1969年的一本書On Death and Dying《論死亡與臨終》，此書的知名度非常高，作者終其一生都和瀕臨死亡的病人及其親屬打交道，被譽為生命的教師，真正的國際公民。

Denial,Anger,Bargaining,Depression,Acceptance,The five steps of dying
拒絕，憤怒，妥協，失望，接受，此為死亡五步曲，就我個人感覺來講，這五個詞不僅僅可以用來描述死亡，也可以指理想的破滅，也可以指生活的無奈，更可以用來描述生活本身，我們的生活也就是個接受的過程，很多事情我們是無能為力去改變的，大家可以去看一看張藝謀先生的電影《活著》，也許會對這幾個詞有更深的體會。

House寫在白板上的標題，Dead Man Dying，這個來自1995年一部電影的名字，Dead Man Walking，中文叫《死囚漫步》，改編自海倫·普雷金修女Sister Helen Prejean的真實經歷，蘇珊薩拉登和西恩潘主演，片子很好，建議一看。
這一集的話題很沉重，House的病人是死刑犯，Cameron病人是晚期癌症病人，還有最後House和Foreman對是否該寬恕的對話，連片尾曲都是Jeff Buckley傑夫.巴克利演唱的《哈裡路亞》Hallelujah，這首歌有無數個版本，至少我就聽過6個，在不同的電視劇裡做片尾曲，我個人最有感覺的就是本集裡這個版本，知名度最高的好像也是傑夫.巴克利的這個版本，也許是因為天妒英才，人們對他的緬懷吧。